Individual provider · Type 1 NPI

Melvin Jackson, NP

Nurse Practitioner · Newnan, GA

NPI number 1679451249 Active

Practice location

745 Poplar Rd
Newnan, GA 30265-1618

Mailing address

1066 Alma Dr
Macon, GA 31216-6195

Other practice locations

  • 1066 Alma Dr, Macon, GA 31216-6195 · (478) 951-3820

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN-NP309363 (GA)
Acute Care Nurse Practitioner 363LA2100XRN309363 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1679451249

Melvin Jackson, NP's National Provider Identifier is 1679451249, issued on Aug 22, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newnan, GA. The record was last updated on Jun 10, 2026.